journal
Journals Facial Plastic Surgery Clinics...

Facial Plastic Surgery Clinics of North America

https://read.qxmd.com/read/37806687/antiaging-effects-of-topical-defensins
#21
REVIEW
Arman Danielian, Marie Danielian, Melodyanne Y Cheng, Jason Burton, Peter S Han, Rhorie P R Kerr
Topical defensins have recently gained attention as agents to improve skin composition. This study aimed to aggregate and synthesize studies in the literature assessing the effects of topical defensins on skin composition in the context of its ability to combat signs of aging.
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806686/degradation-therapy-with-collagenase-and-deoxycholate
#22
REVIEW
Louise McDonald, Lauren Hoffman, Anne Chapas
Deoxycholate (deoxycholic acid) and collagenase are naturally occurring substances whose ability to degrade adipose tissue and collagen respectively has given rise to a variety of therapeutic applications. This article will discuss the indications for the use of deoxycholic acid, primarily its well-established role in the non-surgical reduction of submental fat, with a focus on patient assessment, procedural technique, risks, pitfalls, and key clinical tips. It will also review the indications for collagenase as a degradation therapy, its mechanism of action, and benefits in the management of wound healing, scarring, and adipose tissue modification...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806685/volumizing-fillers-for-skin-selection-strategies
#23
REVIEW
Victor G Lacombe
The normal processes of aging in the face are accompanied by facial volume loss. Aesthetic treatments have been developed to restore lost volume to and below the skin. Understanding the properties and appropriate usages of those volumizing fillers is vital to achieving the best outcomes for patients. Gel firmness, cohesivity, hydrophilicity, tissue integration, and collagen stimulatory properties are attributes to take into consideration when deciding on a volumizing filler. Beyond filler properties, a clinician's understanding of facial harmony and natural aging changes help in understanding how to visualize a holistic response to the use of fillers for youthful restoration...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806684/neuromodulators-for-skin
#24
REVIEW
Anya Costeloe, Angela Nguyen, Corey Maas
Neurotoxins are the most popular nonsurgical aesthetic procedure for men and women of all ages. Five botulinum toxin A (BoNTA) products represent the current palette of available BoNTA for cosmetic use. Off-label uses of BoNTA continue to expand and are now used for skin rejuvenation, to treat various skin disorders, and in facial nerve paralysis. Dermal and subdermal injections of dilute BoNTA has grown in popularity and been shown to improve skin texture and quality. Common targets for chemodenervation in facial nerve synkinesis are ipsilateral orbicularis oculi, mentalis, depressor anguli oris, buccinator, corrugator muscles, and the ipsilateral and/or contralateral frontalis...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806683/ultrasound-therapy-for-the-skin
#25
REVIEW
Anni Wong, Anne S Lowery, Jason D Bloom
Ultrasound energy is delivered to the dermal and subdermal tissue to induce thermal injury, leading to collagen remodeling and resulting in lifting and tightening of the skin. Ulthera and Sofwave are two Food and Drug Administration-approved systems that have demonstrated clinically significant results in providing eyebrow, submental, and neck lift and minimizing facial fine lines and wrinkles. Patient selection and management of expectations are important components to a successful treatment process. Both devices boast high patient satisfaction rates, minimal recovery time, and excellent safety profile...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806682/radiofrequency-microneedling
#26
REVIEW
Macrene Alexiades
Radiofrequency microneedling is a technique that allows energy to be delivered to specified target depths in the skin via needle electrodes and measures temperature and impedance within the tissue. This method of delivery and real-time feedback has increased safety and efficacy, providing clinically significant improvements in skin laxity, rhytids, and cellulite.
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806681/chemical-peels
#27
REVIEW
Richard H Bensimon
Facial resurfacing is a fundamental part of rejuvenation but it is often ignored because of the perceived difficulty. Lasers are an option, but they have proved inadequate for difficult rhytids (ie, perioral) both in quality and longevity. Croton oil peels can give excellent results with remarkable permanence. The misconception of danger and difficulty will be dispelled and the reality that these peels can be done in a controlled fashion and are within the grasp of any practitioner will be discussed.
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806680/ablative-laser-therapy-of-skin
#28
REVIEW
J Kevin Duplechain
Laser skin rejuvenation was introduced in the mid-1990s. Early ablative laser devices relied on scanner technology that provided significant ablation and longer time on tissue treatments. These early treatments provided significant improvement in the appearance of the skin, but because of the longer treatment times and in some cases excessive treatment, complications such as scarring and hypopigmentation were significant. More recent advances in skin resurfacing technology have now minimized these risks providing certain key principles are observed...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806679/scar-therapy-of-skin
#29
REVIEW
Jill S Waibel, Hannah Waibel, Emily Sedaghat
Scar therapy is truly important in medicine. Patients experience great loss in quality of life with scars. There are many treatment modalities that help treat scars, including topical, intralesional, surgical, and energy-based devices. In addition, early intervention can help mitigate scar formation. Lasers represent a major innovation in the treatment of all types of scars. Treating scars is a multimodal and multispecialty endeavor. This article highlights the use of many therapies to treat scars and scar symptoms including pruritus, pain, and range of motion...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806678/translational-biochemistry-of-the-skin
#30
REVIEW
Lindsey Voller, Zakia Rahman
Understanding translational biochemistry of the skin is an essential component in mastering non-invasive aesthetic treatments. Collagen is the most abundant protein in the animal kingdom and plays a significant role in maintaining structural function in biologically healthy human skin. Collagen degradation and synthesis occurs throughout human life. Upregulation of collagen synthesis remains the mainstay of non-invasive aesthetic skin treatments. Elastin is a smaller yet significant component in the skin's ability to maintain biologically healthy stretch and recoil...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37806677/skin-anatomy-and-analysis
#31
REVIEW
Cameron M B Zachary, Solomiya Grushchak, James Newman
This article provides a comprehensive review and strong reference for facial and neck anatomy. An anatomic foundation is built for the dermatologic concepts, techniques, procedures, and surgeries detailed in noninvasive skin treatments. Superficial anatomic landmarks have been established that allow for more nuanced navigation and measurement of facial features. Throughout this article, we discuss key anatomic features of the face and neck, compare dermal thickness in various regions and ethnic anatomic differences, review insertion points of retaining ligaments of the superficial musculoaponeurotic system, and detail diagnostic tools including ultrasound and optical coherence tomography analysis of the skin...
November 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348987/techniques-and-perspectives-in-facial-gender-affirmation-surgery
#32
EDITORIAL
Anthony Bared
No abstract text is available yet for this article.
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348986/gender-facial-affirmation-surgery
#33
EDITORIAL
Anthony P Sclafani
No abstract text is available yet for this article.
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348985/gender-facial-affirmation-surgery-techniques-for-feminizing-the-chin
#34
REVIEW
Maggie Wanhe Wang, Regina E Rodman
The shape and size of the chin are very important in feminizing the lower third of the face, and osseous genioplasty is commonly used in FFS. Different variations of the osseous genioplasty can be used to feminize the chin. The 1-piece genioplasty reduces the size and rounds the chin. 2-piece genioplasty reduces or increases the projection of the chin, but retains the same shape. 3-piece genioplasty also reduces or increases the projection, but has the additional benefit of narrowing the chin. This narrowing helps to create the "V" shaped lower face that is often desired by patients seeking facial feminization...
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348984/feminization-rhinoplasty
#35
REVIEW
A J Flaherty, Ari M Stone, Jeffrey C Teixeira, Michael J Nuara
This article provides a brief cross-cultural history of transgender, nonbinary, and other diverse gender identities, before exploring the background of gender-affirming care and facial feminization surgery in the United States. A variety of techniques for feminization rhinoplasty are discussed in detail. The authors provide insight into assessment and counseling of this unique patient population, timing of surgery, functional nasal considerations, and performing rhinoplasty in the context of other facial feminization procedures...
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348983/injectable-treatments-and-nonsurgical-aspects-of-gender-affirmation
#36
REVIEW
Grace T Wu, Anni Wong, Jason D Bloom
Injectable treatments are valuable tools to be considered in those seeking facial gender-affirming therapies. As stand-alone procedures, they are unlikely to meet expectations, particularly in those seeking facial feminization. However, injectables can be useful for those seeking to transition into another gender role, who are not ready for more permanent surgical treatment. They are also useful to help fine-tune features to one's satisfaction. Transgender people in the United States are more likely than the general population to be impoverished, and thus the cost of injectables may be a more salient concern...
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348982/gender-facial-affirmation-surgery-cheek-augmentation
#37
REVIEW
Brielle Weinstein, Brandon Alba, Amir Dorafshar, Loren Schechter
Cheek augmentation is frequently used in facial feminization surgery. Options for augmentation include both surgical and nonsurgical techniques, such as autologous and non-autologous injections, implants, and osteotomies. Cheek augmentation can be combined with other facial procedures. Complications of cheek augmentation include malposition, resorption, asymmetry, and unfavorable cosmetic results. Cheek augmentation should be considered as part of an overall facial feminizing plan.
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348981/gender-affirming-surgery-of-the-mandible-lower-jaw-feminization-and-masculinization
#38
REVIEW
Benjamin B Massenburg, Russell E Ettinger, Shane D Morrison
For patients with gender dysphoria, gender-affirming surgery of the face has been shown to vastly improve quality of life. The mandible is one area of the face that has distinct feminine and masculine presentations. This article will review gender-affirming surgery of the lower jaw, both for feminization and masculinization. Techniques for bony contouring and soft tissue manipulation will be discussed.
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348980/gender-affirmation-hair-transplantation-techniques
#39
REVIEW
Anthony Bared, Jeffrey S Epstein
Hair restoration can play an important role for transgender patients seeking gender-affirmation procedures. In our clinic, we have seen an increase in transgender patients seeking hair restoration. The most common hair restoration procedures performed in our clinic for the transgender patient are hairline lowering procedures, facial hair restoration procedures including eyebrow and beard transplantation, and body hair transplantation.
August 2023: Facial Plastic Surgery Clinics of North America
https://read.qxmd.com/read/37348979/getting-to-yes-navigating-the-insurance-gauntlet
#40
REVIEW
Jacob E Kuperstock
Insurance coverage of gender-affirming surgeries including facial and vocal feminization surgery remains a challenge for many patients, physicians, and practice administrators. These challenges range from disparities in coverage for commercial versus public insurance carriers, in network versus out of network benefits, preauthorization struggles, and the lack of standard coverage policies. This article aims to describe the insurance coverage and approval challenges related to facial feminization surgery and to provide guidance for surgeons and their practice administrators on how to obtain successful preauthorization/predetermination, single case agreements, and proper claim adjudication...
August 2023: Facial Plastic Surgery Clinics of North America
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